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Third-year medical students and second-year PA students participated in SP exams at the University of Iowa Carver College of Medicine in 2004, 2005, and 2006. PA students took the exams after completing 36 weeks (3/4) of clinical rotations. Medical students participated as a component of a 12-week ambulatory care rotation. The medical students in this study had completed an average of 36 weeks of clinical rotations at the time of their testing. In 2004, 39 M3s and 25 PA students took three of the same cases; in 2005, 32 M3s and 23 PA students took four of the same SP cases, and in 2006, 30 M3s and 23 PA students took two of the same cases. Specific cases varied from year to year. Scoring was accomplished through checklists completed by SPs. The overall mean scores of PA and M3 students on the SP exams were compared using SAS to run t tests. No significant differences were found …